Meet the Other Phone. Child-safe in minutes.

Meet the Other Phone.
Child-safe in minutes.

Buy now

Please or to access all these features

Chat

Join the discussion and chat with other Mumsnetters about everyday life, relationships and parenting.

I thought I have ADHD but they said I have a personality disorder

114 replies

myfeatherboa · 20/06/2023 18:49

About 10 years ago I said to my gp that I think I have adhd and wondered if I might get assessed.

He sent me to a psychologist who told me he wasn't a specialist in adults and that he normally diagnoses kids.

I suffer from anxiety and I turned up early by mistake. I went for a walk to fill the time and came back feeling a bit anxious. I sat in the waiting room for about half an hour and thought I had been forgotten about so i went back to the receptionist (the one who had already sent me away for arriving early, then had admitted me when I came back). She was quite rude to me and said they hadn't forgotten me and that I would be called when they were ready. About 15 mins later a stressed looking woman came out and said to me they were dealing with something and that I would just have to wait. I was super anxious by this time and it felt like she was being quite gruff with me, almost telling me off for having chased the receptionist. She went away and I couldn't help it, I started to have tears run down my face. The psychologist guy came out about 5 mins later to get me and found me that way.

I had the appointment and I had taken all my school reports with me. He and his student sat and read them and asked me lots of questions. He told me normally he diagnoses kids from the fact they have two things in their life that causes problems. He said I was actually not having problems because I have a successful job. I said it does affect my relationship ans I struggle to be organised at home, plus I am finding work difficult. He wanted to know what the point of me getting diagnosed was if I wasn't planning on being medicated. He said that it looks and sounds like I do have adhd but high functioning and that it was actually a benefit to me and that it had helped me succeed in my life.

Then I got a copy of the letter he sent to the go through and it said I had personality disorder. It didn't say I had high functioning adhd

I don't know if this is because he found me crying. I don't know why he would say I have adhd in person and then write that I have a personality disorder in the letter.

I am a secondary school teacher and I am really good with pastoral matters. I have been made a head of year and kids say I am really approachable and they open up to me and I think I am quite empathetic. I have lots of friends who say I am very kind. They also giggle with me and agree I have adhd!

My dh can be quite controlling. But I always doubt myself now because if I have personality disorder then it must be in my head and I am blaming him for my own issues. But it doesn't feel that way. I don't really know what or do. It really gets me down. And I put up with what feels to me like a lot of crap from dh and I wonder if I am wrong to be blaming myself for him being what I see to be as an arse

Do you think I should ask to be assessed again? I no longer live in the same area and I am moving again in the summer for DH's job so would have to wait till I was registered with a go. I would love to leave sh but I have to wait until dc are older as he would be a nightmare ex and would control us massively if I were to walk

OP posts:
SkinnyMalinkyLankyLegs · 21/06/2023 09:45

HundredMilesAnHour · 20/06/2023 20:07

I don't understand why some posters have decided that the psychologist's assessment of the OP was incorrect based purely on the OP not liking the diagnosis she was given. And then her having a hissy fit about it, to the extent where she apparently can't even remember which personality disorder she was diagnosed with because she was so angry that she threw the letter away. Yet she writes "I want to understand why I have struggled for so many years" but it seems that desire for understanding is conditional on it being ADHD rather than anything else.

Interestingly enough, Psychology Today has an article "Why don't therapists like treating BPD?" which states "Individuals with symptoms of BPD are particularly sensitive to perceived criticism. This increases the likelihood that they will feel attacked when a therapist attempts to offer suggestions or insights. This often leads to lashing out"

Makes you wonder if maybe the psychologist had a point?

I very much agree with you.

Summer1912 · 21/06/2023 10:00

My dd 11 is under diagnosis for asd adhd
She is very impulsive. Her reports are often quite mean.
But she is academically doing ok. Not amazing but ok. School have been useless.
and similar to your diagnosis letter think because it's not complet Ely preventing her doing stuff then all is ok.

personally - I'm likely asd and adhd. And don't see point in diagnosis at moment as working age person. If you aren't going to be medicated. I've seen via dd
that you can be discriminated against maybe even more so when they realise you have something wrong.
the only help might be that if you had been 20 and no had kids yet it could have informed that choice or maybe made you quicker seek diagnosis for them.
judging by class WhatsApp many parents etc are very disorganised.
for me it's more a demand avoidance. And yes anxiety so avoid starting stuff I know might cause that. Mainly things judged by others or trying to get others to do things etc

Mustardseed86 · 21/06/2023 10:17

SkinnyMalinkyLankyLegs · 21/06/2023 09:34

Would it not be more accurate to say that you can't tell if she has a personality disorder based on the limited information she's shared rather that you doubt she has a personality disorder based on the information she has shared?

Not really, given

  • he didn't even discuss the supposed personality disorder with her in their appointments
  • I can't see how he would have had enough in-depth information and understanding of OP to rule out multiple other possibilities
  • neurodivergent women are frequently misdiagnosed with BPD/EUPD
  • C-PSTD and being in an abusive relationship frequently present with similar features to the above
  • OP says she's struggled with hyperactivity and focus issues since childhood
  • nothing in her posts suggest a personality disorder (being anxious and tearful is not particularly suggestive of that). She hasn't talked about cycling through friendships and relationships, feeling empty and having an unstable self-image, self-harm, extreme behaviours. Of course any of that could be actually be happening but based on what OP shared, which seems like a pretty honest and open attempt to understand her struggles, it would be surprising.

All of which leads me to say I doubt she has a personality disorder and I can't see how any psychiatrist could make a confident diagnosis of that based on two meetings and some symptoms which cross a whole range of different potential diagnoses and don't appear to have the extremes you would see with a personality disorder.

Mustardseed86 · 21/06/2023 10:36

And no, getting upset about being blindsided with a diagnosis with no discussion or follow-up support doesn't mean she has a PD! 🤣 Sounds a bit 'One Flew Over the Cuckoo's Nest' logic to me.

Caradonna · 21/06/2023 10:58

I would barely mention the 10 year old diagnosis - maybe to say that you were seen by someone but you don't know what kind of doc they were and whoever he was was being supervised by someone else you don't know who.
Tell the GP your symptoms and concerns.
Also if they are having a bigger effect on your life as you get older/ get more responsibility and if you want to do something about it.

Oftenaddled · 21/06/2023 12:12

Would any professional diagnose a personality disorder from an appointment focused on another possible diagnosis, and without discussing with the patient at all?

I mean I know someone said upthread that people can resist this diagnosis, but surely anyone qualified to diagnose is equipped to actually mention it to the patient. Massive ethical issue otherwise.

It's either confusion or incompetence. If they have made this diagnosis they'd want to be able to state the basis. But given that it's a poorly understood and shifting category anyway, I'm not sure I'd give it any more headspace than needed to get record cleared up with GP. That letter should be an account of your appointment, not a private conversation between medics. So I'd say there seems to be confusion, please correct this account of appointment where we discussed x, y, z. And maybe give the meds some thought some time.

Oftenaddled · 21/06/2023 13:15

Mustardseed86 · 21/06/2023 10:36

And no, getting upset about being blindsided with a diagnosis with no discussion or follow-up support doesn't mean she has a PD! 🤣 Sounds a bit 'One Flew Over the Cuckoo's Nest' logic to me.

Exactly. My GP notes had a completely random second miscarriage in them once - saw when transferred. I was moderately perturbed and got it fixed. Rational response. Worse when it's something that might shape professionals' judgement of you

Mustardseed86 · 21/06/2023 14:22

I mean I know someone said upthread that people can resist this diagnosis, but surely anyone qualified to diagnose is equipped to actually mention it to the patient. Massive ethical issue otherwise.

It's also resisting diagnosis in the context of an ongoing therapeutic relationship. Not resisting a rushed out letter with a diagnosis that wasn't even mentioned in person.

And honestly given the stigmatising of personality disorders, it's not necessarily irrational to resist being officially labelled even if it is a valid diagnosis for that individual.

123rainbow · 21/06/2023 18:37

I would complain about this psychologist, at the very least they should explained why at the time and offered advice on how you can move forward/options available for therapy.

myfeatherboa · 21/06/2023 22:15

I think I need to ask for a copy of the letter again. I am seeing my GP in the first week of July so will ask.

OP posts:
SkinnyMalinkyLankyLegs · 23/06/2023 17:48

Mustardseed86 · 21/06/2023 10:17

Not really, given

  • he didn't even discuss the supposed personality disorder with her in their appointments
  • I can't see how he would have had enough in-depth information and understanding of OP to rule out multiple other possibilities
  • neurodivergent women are frequently misdiagnosed with BPD/EUPD
  • C-PSTD and being in an abusive relationship frequently present with similar features to the above
  • OP says she's struggled with hyperactivity and focus issues since childhood
  • nothing in her posts suggest a personality disorder (being anxious and tearful is not particularly suggestive of that). She hasn't talked about cycling through friendships and relationships, feeling empty and having an unstable self-image, self-harm, extreme behaviours. Of course any of that could be actually be happening but based on what OP shared, which seems like a pretty honest and open attempt to understand her struggles, it would be surprising.

All of which leads me to say I doubt she has a personality disorder and I can't see how any psychiatrist could make a confident diagnosis of that based on two meetings and some symptoms which cross a whole range of different potential diagnoses and don't appear to have the extremes you would see with a personality disorder.

I still stand by my original comment. The junior doctor or whatever he was has had two meetings with the OP; that's two more meetings than you or I.

I don't know how anyone can say that it's unlikely that she has personality disorder based on the selected information that the OP is choosing to share with us. No one here can reliably say that. We can only reliably say that we can't tell if she has a personality disorder or not and that the best thing to do would be to return to the GP for reassessment.

Mustardseed86 · 24/06/2023 00:13

SkinnyMalinkyLankyLegs · 23/06/2023 17:48

I still stand by my original comment. The junior doctor or whatever he was has had two meetings with the OP; that's two more meetings than you or I.

I don't know how anyone can say that it's unlikely that she has personality disorder based on the selected information that the OP is choosing to share with us. No one here can reliably say that. We can only reliably say that we can't tell if she has a personality disorder or not and that the best thing to do would be to return to the GP for reassessment.

You're entitled to your opinion but it sounds like very poor practice, quite probably a mistake in the letter that was sent out, and I can't see any reason to give it much credence. Obviously only the OP can say if she in fact has a lot of other really extreme and debilitating symptoms she hasn't mentioned.

myfeatherboa · 24/06/2023 10:09

I've found everyone's opinions on this really helpful and ten years in it is important to question borne whether it could be wrong and whether it could be right.

At the time I was on citalopram for anxiety but it didn't really work. I have since changed to sertraline and that works so so so much better for me.

I am going to take the letter I do have to my GP next month as I have an appointment booked. I have looked up BPD on the nhs website as I need to consider whether I do have these symptoms

It says:

Symptoms - Borderline personality disorder
Borderline personality disorder (BPD) can cause a wide range of symptoms, which can be broadly grouped into 4 main areas.
The 4 areas are:
• emotional instability – the psychological term for this is "affective dysregulation"
• disturbed patterns of thinking or perception – "cognitive distortions" or "perceptual distortions"
• impulsive behaviour
• intense but unstable relationships with others

It goes on to give more detail about these things:

Emotional instability
If you have BPD, you may experience a range of often intense negative emotions, such as:
• rage
• sorrow
• shame
• panic
• terror
• long-term feelings of emptiness and loneliness
You may have severe mood swings over a short space of time.
It's common for people with BPD to feel suicidall_ with despair, and then feel reasonably positive a few hours later. Some people feel better in the morning and some in the evening. The pattern varies, but the key sign is that your moods swing in unpredictable ways.

I do not have unpredictable mood swings. Yes I have been low in some periods in my life and I do suffer from anxiety but things such as death of a parent, pnd and stressful situations have led to these. I do not have feelings of emptiness and loneliness but perhaps as I may have been struggling with pnd at the time I told him I did.

Disturbed patterns of thinking
Different types of thoughts can affect people with BPD, including:
• upsetting thoughts – such as thinking you're a terrible person or feeling you do not exist. You may not be sure of these thoughts and may seek reassurance that they're not true
• brief episodes of strange experiences – such as hearing voices outside your head for minutes at a time. These may often feel like instructions to harm yourself or others. You may or may not be certain whether these are real
• prolonged episodes of abnormal experiences – where you might experience both hallucinationss_ (voices outside your head) and distressing beliefs that no one can talk you out of (such as believing your family are secretly trying to kill you)
These types of beliefs may be psychoticc_ and a sign you're becoming more unwell. It's important to get help if you're struggling with delusions.

Living with a controlling partner has occasionally made me feel like I'm not important but not that I don't exist. And at times the pnd used to make me feel like I was a terrible mum but actually that's crap because I know I have been a good mum. Kids have always come first no matter what.

Impulsive behaviour
If you have BPD, there are 2 main types of impulses you may find extremely difficult to control:
• an impulse to self-harmm_ – such as cutting your arms with razors or burning your skin with cigarettes; in severe cases, especially if you also feel intensely sad and depressed, this impulse can lead to feeling suicidal and attempting suicide
• a strong impulse to engage in reckless and irresponsible activities – such as binge drinking, drug misuse, going on a spending or gambling spree, or having unprotected sex with strangers

I admitted I took class a drugs a couple of times in my early 20s whilst at uni. Honestly this is the only thing I can think that he would have attributed to this category.

Unstable relationships
If you have BPD, you may feel that other people abandon you when you most need them, or that they get too close and smother you.
When people fear abandonment, it can lead to feelings of intense anxietyy_ and anger. You may make frantic efforts to prevent being left alone, such as:
• constantly texting or phoning a person
• suddenly calling that person in the middle of the night
• physically clinging on to that person and refusing to let go
• making threats to harm or kill yourself if that person ever leaves you
Alternatively, you may feel others are smothering, controlling or crowding you, which also provokes intense fear and anger. You may then respond by acting in ways to make people go away, such as emotionally withdrawing, rejecting them or using verbal abuse.
These 2 patterns may result in an unstable "love-hate" relationship with certain people.
Many people with BPD seem to be stuck with a very rigid "black-white" view of relationships. Either a relationship is perfect and that person is wonderful, or the relationship is doomed and that person is terrible. People with BPD seem unable or unwilling to accept any sort of "grey area" in their personal life and relationships.
For many people with BPD, emotional relationships (including relationships with professional carers) involve "go away/please don't go" states of mind, which is confusing for them and their partners. Sadly, this can often lead to break-ups.

Again, the only thing I think he can attribute this to is the fact that I may have told him that my DH is controlling. I have really good relationships with a variety of people. I have continued old friendships for years from all sorts of areas of my life. Some are great friends and some are periphery friends and many have grey areas!

So yes I do feel that this is a misdiagnosis by an inexperienced doctor and I am definitely going to ask the gp to did the letter out of his files and request a second opinion!

OP posts:
coffeeisthebest · 24/06/2023 10:25

You seem like you are unwilling to accept the diagnosis OP, which is fine and entirely up to you, but I am wondering as I read why it is so important to you to get the diagnosis you want? Do you need one after all or are you looking for support in other ways? You sound self aware and that you have found the medication you want and I agree that some of the things written about BPD could be put down to the emotions that we all experience as humans rather than as symptomatic of a disease. It is unsettling to think that women tend to be diagnosed with BPD more than men and I wonder how this sits alongside the tendency in women to be more in touch with how they feel. I hope you get what you want OP, and take care.

New posts on this thread. Refresh page